NPI | 1548299316 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NY 006850) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 006850-1) |
208800000X Urology (Licence: NY 006850) | |
Enumeration Date | 2006-07-02 |
Last Update Date | 2025-09-25 |